Required fields are marked with asterisks (*)

Application for an Adult Crossing Guard Position

_{Personal information contained on this form is collected under the authority of the Municipal Act, 2000 and will be used to respond to your request for traffic calming. For questions about this collection please call 905-878-7252.}

First Name:

Last Name:

Address:

Town/City:

Postal Code:

Phone Number:

Email Address:

How did you hear about this opportunity?

Newspaper

Online

Friend

Other

What languages do you speak/use?

Have you had this position before? Where? Or a similar one i.e. lunch time supervisor

Which school do you live closest to? Or, Closest major intersection:

Do you have your driver’s license? If so, do you have access to a vehicle every day?

Can you deal with the cold winters and the hot Fall and Spring without shelter?

Are you able to commit for the entire school year? That means no vacations between September to June except during Christmas and March Breaks?

Yes

Are you looking to work full-time or part-time? Are you willing to work part-time until a full-time location is available?

PLEASE READ CAREFULLY
APPLICANT'S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I understand that a false statement on this application may disqualify me from employment, or cause my dismissal. I authorize the Corporation to conduct a background search and reference check to qualify me for prospective employment. Information collected is for the interview process only.

Signature of Applicant

Date

Form Builder

Application for an Adult Crossing Guard Position

PLEASE READ CAREFULLYAPPLICANT'S CERTIFICATION AND AGREEMENT

PLEASE READ CAREFULLY
APPLICANT'S CERTIFICATION AND AGREEMENT